FDA-approved small molecule kinase inhibitors for cancer treatment (2001-2015): Medical indication, structural

Ying Wang1, Xiang Nan2, Yanping Duan3

  • 1Department of Electrophysiological Diagnosis, 3201 Hospital of Xi'an Jiaotong University Health Science Center, Hanzhong 723000, China.

PubMed

Insights

Kinase dysregulation drives cancer. This review updates medical uses, design, and binding of 28 FDA-approved small molecule kinase inhibitors (SMKIs) to guide future anticancer drug development.

Area of Science:

  • Oncology
  • Pharmacology
  • Drug Discovery

Background:

  • Kinase dysregulation is central to cancer development, progression, and metastasis.
  • Small molecule kinase inhibitors (SMKIs) represent a significant class of targeted anticancer therapies.
  • Twenty-eight SMKIs were approved by the FDA for cancer treatment by the end of 2015.

Purpose of the Study:

  • To provide an updated review of FDA-approved anti-tumor SMKIs.
  • To analyze their medical indications, design principles, and binding modes.
  • To offer insights for the future development of effective and safe SMKIs.

Main Methods:

  • Literature review of preclinical and clinical data for FDA-approved SMKIs.
  • Analysis of drug design strategies and molecular interactions.
  • Synthesis of information on medical applications and therapeutic outcomes.

Main Results:

  • Summary of current medical indications for 28 anti-tumor SMKIs.
  • Overview of key design principles and structure-activity relationships.
  • Detailed examination of binding modes and their impact on efficacy and safety.

Conclusions:

  • Updated understanding of approved SMKIs is crucial for advancing cancer therapy.
  • Insights into design and binding modes can inform the development of next-generation SMKIs.
  • Future SMKIs should prioritize specific efficacy and improved safety profiles.

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